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MARK KLIMEK REVIEW QUIZ QUETSIONS AND ANSWERS

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MARK KLIMEK REVIEW QUIZ QUETSIONS AND ANSWERS

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  • October 11, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Klimek
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biggdreamer
MARK KLIMEK REVIEW QUIZ
QUETSIONS AND ANSWERS
changes in pH - Answer--when pH goes up: patient goes up (everything gets irritable)
- when pH goes down: patient goes down (systems in your body shut down)
- when pH goes up, potassium goes down and vice versa

pt has prolonged vomiting or suctioning - Answer-ALWAYS metabolic alkalosis = losing
acid through vomit, pH becomes basic

HOLD - Answer-High = Obstruction (kinks, water condensing within tube, secretions in
airway)
Low = Disconnection

High pressure alarm may indicate - Answer-resp alkalosis

Low pressure alarm may indicate - Answer-resp acidosis

Maslow's Hierarchy of Needs - Answer-physiological (functions of living), safety,
comfort, psych, social, spiritual

Antiabuse (disulfiram) - Answer--takes 2 weeks to get into and out of pt's system
-avoid alcohol-based products

neonatal absitence syndrome (NAS) - Answer-can expect to see difficult to console, low
core body temp, exaggerated startle reflex, resp depression, seizure risk, shrill high
pitch cry

Asystole - Answer-give epi and atropine - can't defib until their is a pulse/electrical
activity

Chest tube location - Answer-Apical - high, air (pneumo)
Basilar - bottom, blood (hemo)

Trouble heart defect - Answer-- shunts blood from right to left, so doesnt get to rest of
body
- cyanotic
- needs surgery, delayed growth, decreased life expectancy, needs more time in
hospital
-all start with T - tetraolgy of fallot, truncus arteriosus, etc.

all congenital heart defects will... - Answer-have a murmur and an echo done

, Tetraology of fallot - Answer-4 defects = ventricular defect (VD), pulmonary stenosis
(PS), over-riding aorta (OA), right hypertrophy (RH)

VarieD PictureS Of A RancH

PPE - Answer-- take off in ABC order - gloves, goggles, gown, mask
- put on - gown, mask, goggles, gloves

Crutches - Answer-- hand grip - elbow flexion about 30 deg
- going up and down stairs - up with the good, down with the bad

Canes - Answer-hold on the strong side

Functional psychosis - Answer--can function in everyday life
-schizophrenia, schizoaffective disorder, major depression, manic
-teach reality - acknowledge feeling, present reality, set a limit, enforce limit

Dementia - Answer-acknowledge feeling and redirect

Delirium - Answer-- temporary
- ack feeling and reassure (this is temp and you will be kept safe)

Ideas of reference - Answer-the pt thinks everyone is talking about them

Neologism - Answer-making up words

#1 cause of DKA - Answer-- acute viral upper resp infections in last 2 weeks
- always ask if they have recently had a viral infection

Bilirubin - Answer-- normal level is 9.9 and up
- elevated level - 10-20, 20 can be toxic
- level of 14-15 is when they need to be hospitalized

Kalemias - Answer-- do the same as the prefix, except for heart rate and urine output
-Hyper - low heart rate and urine output, hyper everything else
- Hypo - increased urine and heart rate, depressed everything else

Calcemias - Answer-- do the opposite as the prefix
Hyper - everything depressed
- Hypo - everything excited
- if it is the skeleton or nerve, blame it on calcium

Chvostek sign - Answer-- touch cheek causes muscle spasm of face
- associated with hypocalcemia

Trousseau sign - Answer-put on a BP cuff, blow it up, and go into a spasm of the hand

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